Japanese

Influence of cognitive function of acute hemiplegia patients with cognitive decline on the performance of daily activities at the time of discharge or hospital transfer Junichi Inoue 1 1National Hospital Organization Hizen Psychiatric Center (Former affiliation; National Hospital Organization Kagoshima Medical Center) Keyword: 急性期 , 片麻痺 , 認知機能 , 活動 , (実行状況) , Acute care phase , Hemiplegia , Cognitive function , Activity , Performance pp.179-187
Published Date 2018/4/15
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 Introduction: The purpose of this study was to examine the influence of cognitive function of acute hemiplegia patients with cognitive decline on the performance of daily activities at the time of discharge or hospital transfer. Methods: Subjects were 22 acute hemiplegia patients with cognitive decline. The cognitive function was assessed by Japanese version of Montreal Cognitive Assessment (MoCA-J) total score. The range of the MoCA-J total score is zero to 30 points (26 points or more is normal); the subjects in this study scored less than 25 points. The performance of each of the daily activities was assessed by 18 items of the Functional Independence Measure (FIM). The scores ranged from one to seven points per activity. Single regression analysis was used to confirm whether the performance of each activity (score of one item) could be predicted by cognitive function (MoCA-J total sore). Results: Single regression analysis suggests that the performance of the seven activities (Bladder management, Bowel management, Comprehension, Expression, Social interaction, Problem solving, and Memory) during three weeks after hospitalization (average length of hospital stay 24.73 ± 6.60 day) was predicted from the MoCA-J total score one week after hospitalization (average length of hospital stay 8.36 ± 2.75 day). Discussion: In the Occupational therapy plan for acute hemiplegia patients with cognitive decline, it is necessary to consider the possibility that quantity of care increases in the seven activities during cognitive decline.


Copyright © 2018, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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